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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۱، صفحات ۱۹-۲۵
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عنوان انگلیسی Return to Sport and Rate of Re-Injury in Athletes after Double-Bundle or Single-Bundle ACL Reconstruction - Minimum Five Years Follow-Up
چکیده انگلیسی مقاله Objectives: Compare, retrospectively, the medium- and long-term of return to sport rates and re-injury of the anterior cruciate ligament (ACL) in patients submitted to single -bundle (SB) compared to doublebundle (DB) technique reconstruction.Methods: Athletes operated by SB or DB ACL reconstruction, with at least five years of follow-up at a single center, were included. The following data were collected: demographic data; competitive sports practice before the injury; previous surgery; injury/surgery to the contralateral knee; return to sports and level of the return; re-injury (time of the re-injury after the first surgery; mechanism of trauma for the re-injury; necessity of operative treatment); signs and complaints related to the knee the last clinical consultation.Results: Seventy-six athletes (27 SB and 49 DB) were included. The return to sport rate (98%) was the same for both groups, and the return to the previous level rate showed an improvement in the DB group but without statistical significance (63% vs. 79%; P = 0.173). However, other outcomes showed higher results for the DB group: lower reinjury rate throughout the follow-up period (41% vs. 18%; P = 0.034) and during the first year of follow-up (22% vs. 4%; P = 0.021), and less stiffness (0% vs. 22%, P = 0.001). While in primary reconstruction cases, there was not a higher re-injury rate using SB (P = 0.744), in the revision cases, SB was correlated with more re-injuries than DB (P = 0.002).Conclusion: The overall re-injury in the medium- and long-term and the return to practice sports at the same level as before surgery in athletes submitted to DB reconstruction were slightly better than those submitted to SB reconstruction, especially in the cases that were asecond time lesion ( revisioned knees). Level of evidence: II
کلیدواژه‌های انگلیسی مقاله anterior cruciate ligament, Arthroscopy, Athletes, Double-bundle, knee, Sport
نویسندگان مقاله | Alexandre Bitar
Instituto Vita, São Paulo, SP, Brazil


| Guilherme Abreu
Instituto Vita, São Paulo, SP, Brazil


| Antonio Rodolpho Scalize
Instituto Vita, São Paulo, SP, Brazil


| Guilherme Garofo
Instituto Vita, São Paulo, SP, Brazil


| Caio D’Elia
Instituto Vita, São Paulo, SP, Brazil


| Wagner Castropil
Instituto Vita, São Paulo, SP, Brazil
نشانی اینترنتی https://abjs.mums.ac.ir/article_23385.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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